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Endo tips    Better Endo    Endo abstracts    Endo discussions

  Caries Detection for Calcified canals
The opinions and photographs within this web page are not ours. Authors have been credited
for the individual posts where they are. - www.rxroots.com Photos courtesy of Bill Watson - Sashi Nallapati
From: Sashi Nallapati
To: ROOTS
Sent: Monday, August 07, 2006 9:11 PM
Subject: [roots] calcified canals

Since i left the program here are all the cases that i treated that are 
calcified  i would not do any access without the dam unless its
a calcified anterior tooth or round house bridge for orientation.
all these cases  i made my access and found the canal ,then placed the
dam. All these cases had prior accesses by clinicians that had no 
business doing what they did. i need to do a case selection seminar
quickly.

Munce burs are good burs that can help you get deeper in the canal 
without blocking your access. I used them in these cases with good
results. -  sashi nallapati

calcified canals 
calcified canals Hi Sashi, Do you use these burs in a crown-down (large to small size) fashion? How do you compare using the burs vs. ultrasonic troughing? - Tony hi tony , i used the smallest size in these cases as the accesses were already made by the referring dentists. these are faster compared to the ultrasonics. and so far i find them not blocking my vision while working . Sashi From: Peter D. Cancellier, DDS To: ROOTS Sent: Tuesday, July 10, 2001 6:17 AM Bill, Sometimes the dye is darker (where there is more protein) at a point along the line. That is where I try to penetrate with a file first. Peter From: Bill Watson To: ROOTS Sent: Monday, July 09, 2001 4:07 PM >Bill and Ben, >As you know, I like the dye. Sometimes it can make a difference when you are not able to penetrate. I don't see a problem with the dye stealing light either. Most of the time it isn't needed, but it works for me. Pete As you know, I like the dye. I did not know. Sometimes it can make a difference when you are not able to penetrate. Don't know if I can go with you on this one. Do you have any pic's that show the dye usefulness when there is not a white dot/line. I don't see a problem with the dye stealing light either. I'll go with you on this one. Here is one case that I did today. Sorry about the slightly out-of-focus dye pic (I thought it might help make my argument better.) From: "Joseph Dovgan" To: "ROOTS" Sent: Tuesday, July 10, 2001 12:28 AM Kim, I'm interested. I'm using Caries-D-Tect and sure would like to do a side by side comparison. I didn't realize it was in my sample kit from the conference.
From: "Danny O'Keefe" To: "ROOTS" Sent: Tuesday, July 10, 2001 7:12 AM Subject: [roots] Re: Caries Detection for Calcified canals - Kim Bleiweiss Let's see the white lines in the microscope. Thanks, Danny O'Keefe, D.D.S. From: Peter Cancellier To: ROOTS Sent: Monday, July 09, 2001 7:59 PM Bill and Ben, As you know, I like the dye. Sometimes it can make a difference when you are not able to penetrate. I don't see a problem with the dye stealing light either. Most of the time it isn't needed, but it works for me. - Pete From: Benjamin Schein To: ROOTS Sent: Monday, July 09, 2001 6:50 PM I would tend to agree with Bill. Stains are not very helpful. The big problem with locating calcified orifices is when there is irritation or tertiary dentin covering the orifice/isthmus, once you get rid of it under the scope, the stain is probably somewhat of an obstacle. Remember..we are not using transmitted light but reflected light. Leaving NaOCL for a while in the chamber and the bubbles can sometimes help more. I wonder if Gary has looked at tertiary dentin with the Scanning Electron Microscope? From: "Yosef Nahmias" To: "ROOTS" Sent: Monday, July 09, 2001 7:18 PM And the white dot (dentin debris that acumulate at the orifice) is invaluable! From: Bill Watson To: ROOTS Sent: Monday, July 09, 2001 5:23 PM I'd volunteer to help out. My personal opinion and experience is that under the scope the dyes are not useful. I can post pic after pic of the white-line road map that lead to canals. That white line is a very nice contrast to the gray furcal dentin and more yellow circumfurcal dentin. They dyes, being dark don't add that much and can sometimes soak up already strained light sources that aren't xenon. Just my opinion. I can certainly furnish the white line orifice/isthmus info. The truth of the matter is that under the scope you can just about see every thing. bill From: Joseph Dovgan To: ROOTS Sent: Sunday, July 08, 2001 11:59 AM Kim Bleiweiss Kim, You could choose 10 folks, but with this, since it's so inexpensive, I'd shoot for 20 or more. Just ask for volenteers and have them email shipping address to ya. If you want me to take charge, just ask. Joey D From: Uziel Blumenkranz To: ROOTS Sent: Sunday, July 08, 2001 8:39 AM I hace been using sable seek green, good results, beautiful turquoise color with sodium hypochlorite. Will stain darker at entrance of cacified canals. Uzi. From: Kenneth S. Serota To: ROOTS Sent: Saturday, July 07, 2001 8:17 PM In the realm of cyberadvocacy, Kimster, talk to Joey D, our resident cyberadvocate, let him choose 10 or so folks to try out Sable Seek Red and Green as a means of detecting canals. Folks have to take pictures and forward them to ROOTS. Let the games and endopinions begin in earnest (not the Jim Varney movies, may he rest in peace). - kendo From: Glenn van As Newsgroups: roots To: ROOTS Sent: Saturday, July 07, 2001 8:10 PM Another thing Yosi showed was that in Calcified cases he frequently uses caries detector in the canals and it sometimes stains the orifice of the canal. You might want to try that if you get into trouble. Take frequent radiographs to make sure you are not going off center as well. I too would try the endo.....no guarantees and and tell the patient you will stick to you part of the body if he sticks to his! - Glenn "sasidhar dr nallapati" wrote in message news:35086@roots... thanks John ,i may go after it with a vengeance ,only after explaining the risks involved wit the patient.he is a gyneacologist and sure I don't wanna mess with him. - sashi nallapati From: John J. Stropko, D.D.S. To: ROOTS Date: Saturday, July 07, 2001 4:50 PM Subject: [roots] Re: if you not tired as yet,need advise Sashi, Just say a prayer, start the RCT, and see if you can see any color variations as you begin the access. Might consider selective anestesia to numb just tissue. the patients response (if not too uncomfortable) might help you find canal. Of course, this is an option, depending on the pain threshold of the patient. Then, try to picture the axial inclination of the root and take several progressive X-rays, at different angles, to be sure you are centered and not "drifting" on way or the other. You might get lucky and do it without a scope. If you perf, you can then always refer for an implant. Remember, "God, DDS gave your patients a set of teeth, and they didn't hold up"! Just give it your best shot. You can always "take it out"! Good luck! John Stropko
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